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"id": 605868,
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"content": "The conditional additional allocations also spread across some very key areas. However, in some of the areas, there is no clear tabulation in terms of what provisions were made and what sort of indicators were used for the amounts that have been allocated. For example, there are a lot of variations on the conditional allocation for free maternal healthcare as well. The conditional allocation for compensation for user fees also varies from one county to another. We have the conditional allocation for leasing medical equipment and that is a constant fee. Looking through, all counties have had increments, but, again, there are quite a lot of variations. For example, for a county like Garrisa, we have almost an increase from Kshs111 million to Kshs360 million for the two years. For Kiambu County, there is an increase from Kshs87 million to Kshs330 million. For Kisii, Machakos, Meru and counties are experiencing to a large extent very large increases. Mr. Temporary Speaker, Sir, looking at the conditional allocation for free maternity, some counties are more advantaged. We do not know whether this depends on life birth rates for that particular county and, therefore, a larger allocation or this might be a historical allocation. It needs to be looked at. Kiambu County have Kshs224 million allocated to them, while Tana River County only has an allocation of Ksh19 million. Taita Taveta has an allocation of Kshs42 million. Kwale County, my county, has an allocation of Kshs104 million. Mombasa County which is also my county has an allocation of Kshs136 million. That sought of variation moving forward, needs to be supported from the budget office and from the Ministry, so that we know where those figures are coming from in terms of justifying them. Looking at the conditional additional allocation to county governments from loans and grants, we see different patterns because different donors will be interested or not interested in particular counties depending on the interests they have. Again, we find that Meru and Nairobi County have a total allocation of above Kshs1 billion, almost hitting Kshs1.5 billion. The World Bank is financing county health facilities in specific counties and not in other counties. The Danish International Development Agency (DANIDA) has an equal spread. At the end of the day, there is quite a bit of variation. For Mombasa County, the allocation is Kshs131 million cutting across board, whereas, for other counties it is Kshs91 billion. So, again, this is a question of interaction between a particular county, Non-Governmental Organization (NGOs) or the particular projects that are going in those specific counties. Mr. Temporary Speaker, Sir, looking at the conditional allocation for free maternal health care in the annexes, there are frameworks for the conditional additional allocation that have to be made to the Government and they are very clear. It is very imperative that these are processed properly so that the money gets to where it should. For example; preparing and operationalizing programme implementation guidelines so that right from the beginning, it is clear how these programmes are to be run. Submitting quarterly financial and technical reports also becomes clear, health facilities benefiting should be licensed at all the various the levels together with other provisions together with other provisions. For example, the funding must include budget estimates, the"
}